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dc.contributor.authorAitken, LM
dc.contributor.authorHendrikz, JK
dc.contributor.authorDulhunty, JM
dc.contributor.authorRudd, MJ
dc.date.accessioned2017-05-03T13:22:35Z
dc.date.available2017-05-03T13:22:35Z
dc.date.issued2009
dc.date.modified2010-06-30T06:44:50Z
dc.identifier.issn0300-9572
dc.identifier.doi10.1016/j.resuscitation.2008.10.021
dc.identifier.urihttp://hdl.handle.net/10072/28581
dc.description.abstractAim This study aimed to determine factors linked to hypothermia (<35 é in Queensland trauma patients. The relationship of hypothermia with mortality, admission to intensive care and hospital length of stay was also explored. Methods A retrospective analysis of data from the Queensland Trauma Registry was undertaken, and included all patients admitted to hospital for =24 h during 2003 and 2004 with an injury severity score (ISS) > 15. Demographic, injury, environmental, care and clinical status factors were considered. Results A total of 2182 patients were included; 124 (5.7%) had hypothermia on admission to the definitive care hospital, while a further 156 (7.1%) developed hypothermia during hospitalisation. Factors associated with hypothermia on admission included winter, direct admission to a definitive care hospital, an ISS = 40, a Glasgow Coma Scale of 3 or ventilated and sedated, and hypotension on admission. Hypothermia on admission to the definitive care hospital was an independent predictor of mortality (odds ratio [OR] = 4.05; 95% confidence interval [CI] 2.26-7.24) and hospital length of stay (incidence rate ratio [IRR] = 1.22; 95% CI 1.03-1.43). Hypothermia during definitive care hospitalisation was independently associated with mortality (OR = 2.52; 95% CI 1.52-4.17), intensive care admission (OR = 1.73; 95% CI 1.20-2.93) and hospital length of stay (IRR = 1.18; 95% CI 1.02-1.36). Conclusions Trauma patients in a predominantly sub-tropical climate are at risk of accidental and endogenous hypothermia, with associated higher mortality and care requirements. Prevention of hypothermia is important for all severely injured patients.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent129305 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeIreland
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom217
dc.relation.ispartofpageto223
dc.relation.ispartofissue2
dc.relation.ispartofjournalResuscitation
dc.relation.ispartofvolume80
dc.rights.retentionY
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchAcute care
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420501
dc.titleHypothermia and associated outcomes in seriously injured trauma patients in a predominantly sub-tropical climate
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© 2009 Elsevier Ireland Ltd.. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2009
gro.hasfulltextFull Text
gro.griffith.authorAitken, Leanne M.


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